Single-Portal Access Laparoscopic Radical Nephrectomy for Renal Cell Carcinoma in Transplant Patients: The First Experience

We present the details of the first three single-portal access laparoscopic radical nephrectomies (S-Portal-RN) performed in patients with a malignant renal tumour that developed after a renal transplant. The mean operative time was 171.6 +/- 37.5 min, with a mean blood loss of 126.6 +/- 25.1 ml. A single small skin incision (5 cm) was performed to remove the kidney. No significant difference in glomerular filtration rate was observed postoper-atively. The postoperative recovery was uneventful with favourable short-term outcomes and high patient satisfaction at the 2-mo follow-up. We believe that S-Portal-RN for renal cancer after a renal transplant can be performed without increased risks for the patients or for the transplanted kidney. (C) 2010 European Association of Urology. Published by Elsevier B. V. All rights reserved.